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Iowa rates for HCPCS 15773

Grafting Of Autologous Fat By Lipo 25 Cc Or Less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.72 / $3,666.78 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.86 / $856.26 / $3,267.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.74 / $1,369.47 / $5,163.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.64 / $1,471.64 / $1,865.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $5,023.00 / $7,305.00